Individual
LARISSA O'LOUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
400 E MAIN ST, MOUNT KISCO, NY 10549-3417
(914) 979-1260
Mailing address
PO BOX 126, PLEASANTVILLE, NY 10570-0126
(941) 979-1260
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
150362
CT
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
749632
NY
163WM0102X
Maternal Newborn Registered Nurse
150362
CT
163WM0102X
Maternal Newborn Registered Nurse
749632
NY
Other
Enumeration date
07/22/2020
Last updated
04/14/2022
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